Are ‘Behavioural’ Disorders a separate nosological category of disorders ?
Journal Title: INDIAN JOURNAL OF MENTAL HEALTH - Year 2015, Vol 2, Issue 3
Abstract
The term ‘Behavioural’ Disorders is widely used in Psychiatry. For example, in the ICD-10, Chapter V is titled ‘Mental and Behavioural Disorders’. There is a lack of consensus about the meaning of the term. Different organizations and persons use the term in different sense. This article discusses the meaning of the term and whether there is a separate nosological category of disorders called Behavioural Disorders. This article shows how there is no well-defined nosological category of disorders called Behavioural Disorders. BDs are not a nosological subcategory of Mental Disorders. There are no clear inclusion or exclusion criteria - in terms of behavioural abnormalities, interpersonal / social difficulties or functional impairment - that can be used to term a disorder as a BD or to exclude a disorder from the category of BDs. The behavior is not an organ of the body that we should create a separate nosological category of disorders for it. The use of the term Behavioural Disorders in double terms such as ‘Mental and Behavioural Disorders’ does not have any rationale. If the purpose of a nosology is to introduce clarity in categorization, then the use of the term Behavioural Disorders – especially as a double term - defeats the purpose. The rational description is to say ‘Mental Disorders and their behavioural manifestations’. It is important to understand the conceptual difference between patients having ‘disordered behavior’ as a result of their Mental Disorders and terming them as Behavioural disorders.
Authors and Affiliations
Shrirang Bakhle
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